Vicki-Lynn Brown, MSW, LCSW, CCM

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C002968 Issued in NC

Practice address

5445 Pageford Dr
Durham, NC 27703-5879

Phone

(919) 741-0497

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Vicki-Lynn Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1487732780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 PAGEFORD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035879",
            "telephone_number": "919-741-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 PAGEFORD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035879",
            "telephone_number": "919-741-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "VICKI-LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "C002968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002236",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI-LYNN",
            "last_name": "BROWN",
            "prefix": "MS.",
            "credential": "MSW, LCSW, CCM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saqulah Brown
• Sarah Brown
• Teresa T Brown, M.D.
• Tiffany Thompson Brown, M.A., CCC-SLP
• Velvet Brown, MSW
• Victoria Brown, MS, RD
• Jeffrey Browndyke, PH.D.
• Briana Nicole Brownlow, PHD
• Brownstone LLC
• Candace Bruce

• Psychiatry Physician in Durham, NC
• Providers in Durham, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.